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DR. JAKE ERICKSEN DDS
NPI 1023683398
Dentist in Bellevue, WA

Active since May 20, 2021
5611 119TH AVE SE STE 2, BELLEVUE, WA 98006(425) 746-6554 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2021, May 20, 2021 (2 updates tracked since 2021).

About Dr. Jake Ericksen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAKE ERICKSEN DDS (NPI 1023683398) is an individual dentist in Bellevue, Washington, licensed in Washington (DE61166100) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1023683398
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JAKE ERICKSENCredential: DDS
Location Address5611 119TH AVE SE STE 2Bellevue, WA 98006-3799
Mailing Address1800 Eastlake Ave E Apt 301Seattle, WA 98102-3787
Phone(425) 746-6554
Sole ProprietorNo
Enumeration DateMay 20, 2021
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1023683398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE61166100
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5611 119TH AVE SE STE 2, Bellevue, WA 98006
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SOUMYA PANDEY
Dentist (General Practice)
5611 119TH AVE SE STE 2
BELLEVUE, WA 98006
King County (425) 746-6554
NEWPORT HILLS DENTAL
Dentist (General Practice)
5611 119TH AVE SE STE 2
BELLEVUE, WA 98006
King County (426) 746-6554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Ericksen's NPI number?

The NPI number for Jake Ericksen is 1023683398. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Jake Ericksen located?

Jake Ericksen practices at 5611 119th Ave SE Ste 2, Bellevue, WA 98006. The listed phone number is (425) 746-6554.

What is Jake Ericksen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jake Ericksen was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.